Complex Claims Technical Specialist

Position Summary: Analyze intricate claim-related problems that extend beyond the scope of claim examiners and senior claim examiners. Provide expert guidance to claims staff on resolving complex claim issues, collaborating closely with configuration teams for contract testing in business operations and reporting.">Key Responsibilities:Analyze complex...

Job DescriptionWe are seeking a Complex Claims Analyst to join our team at University Health. In this role, you will be responsible for analyzing complex claims data, providing expert analysis to claims staff, and working collaboratively with various departments to ensure accurate claims resolution.About the RoleThis is a challenging and rewarding position...

About the RoleThe Senior Claims Professional will provide technical guidance on major cases in litigation, ensuring that all claims are handled in accordance with company policies and procedures. This role requires a deep knowledge of claims adjudication and the ability to analyze complex data to determine whether a claim falls within policy coverage.You...

**About Us:**Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness, and opportunity. We're an innovative organization that's small enough to be agile and big enough to make a difference in our industry.This role will provide the successful candidate with the opportunity to work in a collaborative and...

Job SummaryThis role involves analyzing intricate claim payment issues, eligibility, and system problems beyond the scope of claims examiners. The ideal candidate will act as a consultant to claims staff in resolving complex claim matters.Key ResponsibilitiesAnalyze complex claim payments, eligibility, and system issues that affect claims payment.Act as a...

**Job Summary**We are seeking a highly skilled Data Claims Specialist to join our team at University Health. As a key member of our claims processing team, you will be responsible for analyzing complex problems related to claim payments, eligibility, and other insurance issues.The ideal candidate will have five years of experience in HMO/PPO claims and a...

Job OverviewWe are seeking an experienced Workers' Compensation Claims Adjuster to join our team at Argo Group. As a Workers' Compensation Claims Adjuster, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...

About the OpportunityAt Argo Group, we are looking for a highly capable Senior Technical Claims Specialist to join our team and work from any of our office locations. You will be part of an innovative organization that's small enough to be agile and big enough to make a difference in our industry.Job Overview:This role will involve adjudicating construction...

**Job Summary:**We are seeking a skilled Claims Examiner to join our team at Argo Group. This role will involve adjudicating workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.The successful candidate will have a minimum of two years' experience adjudicating workers' compensation claims in one or...

About USAAAt USAA, we have a mission to facilitate the financial security of millions of U.S. military members and their families. We share in the mission to give back to those who did serve, working together to build a great experience and make a real impact for our members.Our Core ValuesHonesty: We act with integrity and authenticity in all our...

Key ResponsibilitiesThe Claims Adjudication Specialist will be responsible for providing technical support on major cases in litigation, including reviewing claims files, analyzing data, and making recommendations to senior management. You will also be responsible for conducting file reviews to ensure accuracy, attending mediations and settlements, and...

Job SummaryWe are seeking a highly skilled and dedicated individual to fill the role of Health Insurance Claims Specialist. In this position, you will be responsible for handling complex customer inquiries related to health insurance claims.Key Responsibilities:Answer questions from customers regarding claims processing and resolution.Maintain accurate...

Job Title: Technical Lead - Guidewire SpecialistWe are seeking an experienced Technical Lead to join our team in San Antonio, TX. As a Technical Lead - Guidewire Specialist, you will be responsible for guiding the development of Guidewire claims center integrations using GOSU programming language.Your key responsibilities will include working with the...

Job Title: Medical Claims SpecialistSalary:$45,000 - $65,000 per yearAbout the RoleUSGP is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for processing and managing medical claims for patients.Key ResponsibilitiesClaims Processing: Review and process medical claims for accuracy...

**About USAA**At USAA, we have a vital mission: providing financial security to millions of U.S. military members and their families. We are committed to giving back to those who served.**Job Summary**We are seeking a dedicated Injury Adjuster Specialist to join our team. This hybrid role requires adjusting complex bodily injury claims, investigating loss...

Job OverviewFred Loya Insurance is seeking a highly skilled and motivated Senior Claims Adjuster to join our team. As an Auto Insurance Specialist, you will be responsible for handling complex claims, providing exceptional customer service, and working closely with clients to resolve issues efficiently.

About USAAUSAA is a mission-driven organization that provides financial security to millions of U.S. military members and their families.Job DescriptionWe are seeking a dedicated Medical Claims Examiner - Risk Management Specialist to join our team. This hybrid role requires an individual to be in the office 3 days per week, where you will adjust complex...

Your MissionWe're looking for a Claims Investigation Specialist to help us detect and prevent insurance fraud. In this role, you'll use your expertise to investigate claims and identify potential areas of risk. Your findings will help us improve our underwriting processes and reduce the likelihood of fraudulent activity.As a Claims Investigation Specialist,...

About the Opportunity: Claims Data SpecialistOverview: At Link Up Overseas, we're seeking a highly skilled and detail-oriented Claims Data Specialist to join our claims coordination team. This is a remote position that requires strong administrative and data entry skills.Key Responsibilities:Data entry of claims information into our claims management...

Job Title: Claims Adjuster SpecialistEstimated Salary: $60,000 - $75,000 per yearMaltos Law Firm PLLC is seeking an experienced Claims Adjuster Specialist to join our team. In this role, you will be responsible for handling personal injury claims from initial intake to resolution, ensuring timely and fair settlement for our clients.About the Role:Review and...